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Individual
DR. TERRA J BARNES
Active
Individual
DR. TERRA J BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 10283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3663840
TAX ID
CA
05
—
SD0102830
—
CA
Enumeration date
09/15/2006
Last updated
07/08/2007
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